Individual
AMANDA SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5069 KELLYS CREEK RD, CHARLESTON, WV 25312-6842
(304) 543-3764
Mailing address
5069 KELLYS CREEK RD, CHARLESTON, WV 25312-6842
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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